Position Overview
The Nurse practitioner role is part of a nurse led team in the North Canberra Hospital (NCH) Geriatric Rapid Acute Care Evaluation (GRACE) Service. The GRACE Nurse Practitioner (NP) provides advanced nursing care both autonomously and in collaboration with GRACE Medical Officers and GP’s. Recognised as an expert practitioner and clinical leader, the NP possesses advanced knowledge, skills, and competence within their credentialed scope. This role involves promoting nursing by exploring and expanding the boundaries of nursing practice through evidence-based and best practice literature. The NP demonstrates clinical excellence in contemporary nursing practices, offering expert advice and identifying opportunities for quality improvement.
GRACE is an outreach service that provides a point of liaison and clinical support and education at the Residential Aged Care Facilities (RACH)/ acute care setting interface. The GRACE Service liaises between Residential Aged Care Home (RACH) residents, their family and carers, GPs, Emergency Department (ED) staff, inpatient units of North Canberra Hospital, Canberra Hospital and ACT Ambulance Service (ACTAS), for improved care delivery to acutely unwell residents in the ACT.
In addition to clinical support, The GRACE service provides a formal education program for RACHs including a standard suite of sessions / subjects. Analysis of specific needs of each RACH is regularly undertaken, and education is tailored to the specific needs of the RACH.
The primary aim of the nurse practitioner position in the GRACE service is to provide advanced assessment and clinical management of residents of Residential Aged Care Home (RACH) to prevent avoidable presentations to public Emergency Departments (EDs).
The GRACE Nurse Practitioner will continue to develop/evolve to meet the changing clinical requirements of both GRACE and the RACHs.
Duties
The GRACE NP will report operationally to the GRACE CNC, work collaboratively with the GRACE Medical & Nursing team and will:
- Work at an advanced level of nursing practice that includes comprehensive holistic assessment, diagnosis, therapeutic management, quality use of medicines, monitoring and evaluation of care tailored to the person’s needs.
- Function autonomously and collaboratively in an advanced and extended clinical role with other health professionals to diagnose, treat and manage patient’s health problems.
- Working together with GP’s and RACH staff ensuring resident’s goals of care/treatment plan are agreed upon and upheld.
- Utilise advanced skills, education and autonomy to deliver evidence-based care as described in the GRACE model of care.
- Provide clinical expertise and/or support to nursing and medical staff in all areas of the GRACE team, GP’s and RACH staff.
- Influences and progresses clinical care, policy, procedures, and collaboration for the GRACE team serving as a subject matter expert. This may include representing the GRACE team on internal and external committees.
- Foster a positive workplace culture including providing constructive feedback to all levels.
- Undertake other duties appropriate to this level of classification, which contribute to the operation of the organisation.
About you
CHS is committed to workforce diversity and to creating an inclusive workplace. As part of this commitment, we welcome applications from all diversity groups. Aboriginal and Torres Strait Islander peoples, people with disability and people who identify as LGBTQIA+ are particularly encouraged to apply.
Behavioural Capabilities
- Be flexible, adaptable and comfortable with a changing working environment.
- Ability to respond to and prioritise competing demands in a calm and efficient manner while maintaining high work standards.
- Commitment to achieving positive outcomes for older people, their families, Carers and RACH staff
- Ability to liaise effectively with staff at all levels and across disciplines.
- High Level communication and interpersonal skills.
Position Requirements / Qualifications
Mandatory
- Registered Nurse with the Australian Health Practitioner Regulation Agency (AHPRA) who is endorsed to practice as a Nurse Practitioner by the Nursing and Midwifery Board of Australia.
- Must hold a current drivers’ licence.
- Have an understanding of documents such as the Aged Care Quality Standards, Charter of Aged Care Rights, Palliative Aged Care Outcomes Program (PACOP), The Aged Care Diversity Framework (https://www.agedcarequality.gov.au/older-australians/your-rights/aged-care-quality-standards, https://www.uow.edu.au/ahsri/pacop/
- CHS is leading the drive to digitally transform health service delivery in Australia through the implementation of a territory wide Digital Health Record. Computer literacy skills are required which are relevant to this role as you will be responsible for completing required documentation and becoming a proficient user of the Digital Health Record and/or other Information Technology systems; once proficient, you will need to remain current with changes, updates and contingencies.
Highly Desirable
- A minimum of 5 years’ experience in aged to acute care liaison roles or similar.
- Have an understanding of how the National Safety and Quality Health Service (NSQHS) indicators align with this role.
- Fulfil the responsibilities of this role in alignment to the CHS Exceptional Care Framework and all other related frameworks.
Please note prior to commencement successful candidates will be required to:.
- Undergo a pre-employment National Police Check.
- Comply with Canberra Health Services Occupational Assessment, Screening and Vaccination policy.
- Comply with Canberra Health Services Credentialing and scope of clinical practice requirements for Nurse Practitioners .
What you Require (Key Selection Criteria)
These are the key selection criteria for how you will be assessed in conjunction with your resumé and experience.
- Demonstrated high-level knowledge and advanced clinical nursing skills, including comprehensive assessment, diagnostics interpretation, treatment implementation, and relevant referral skills in complex situations. Including current trend in the care of the older person.
- Demonstrated understanding of the Residential Aged Care provided within Canberra facilities with the ability to lead, implement changes, and develop clinical practice through evidence-based research. Proven expertise in complex client-centred consultancy, practice development, mentoring, education, policy development, and quality improvement.
- Demonstrated ability to work autonomously and accountably while collaborating effectively in a multidisciplinary environment including forming relationships with internal and external stakeholders.
- Commitment to research, best practice, continuous quality improvement, professional development for self and others, and acting as an effective role model reflecting organisational values.
- Demonstrates understanding of, and adherence to, safety and quality standards, work, health and safety (WH&S) and the positive patient experience. Displays behaviour consistent with CHS’s values of reliable, progressive, respectful and kind.
Work Environment Description
The following work environment description outlines the inherent requirements of the role and indicates how frequently each of these requirements would need to be performed. Please note that the ACT Public Service is committed to providing reasonable adjustments and ensuring all individuals have equal opportunities in the workplace.
| Administrative | Frequency |
|---|---|
| Telephone use | Frequently |
| General computer use | Frequently |
| Extensive keying/data entry | Occasionally |
| Graphical/analytical based | Occasionally |
| Sitting at a desk | Occasionally |
| Standing for long periods | Occasionally |
| Psychosocial demands | Frequency |
|---|---|
| Distressed People e.g. Emergency or grief situations | Frequently |
| Aggressive & Uncooperative People e.g. drug / alcohol, dementia, mental illness | Frequently |
| Unpredictable People e.g. Dementia, mental illness, head injuries | Frequently |
| Restraining e.g. involvement in physical containment of clients/consumers | Occasionally |
| Exposure to Distressing Situations e.g. Child abuse, viewing dead / mutilated bodies; verbal abuse; domestic violence; suicide | Frequently |
| Physical demands | Frequency |
|---|---|
| Distance walking (large buildings or inter-building transit) | Frequently |
| Working outdoors | Never |
| Manual handling | Frequency |
|---|---|
| Lifting 0 - 9kg | Frequently |
| Lifting 10 - 15kg | Never |
| Lifting 16kg+ | Never |
| Climbing | Never |
| Running | Never |
| Reaching | Occasionally |
| Kneeling | Occasionally |
| Foot and leg movement | Frequently |
| Hand, arm and grasping movements | Occasionally |
| Bending/squatting | Occasionally |
| Bend/Lean Forward from Waist/Trunk twisting | Occasionally |
| Push/pull | Occasionally |
| Sequential repetitive movements in a short amount of time | Frequently |
| Travel | Frequency |
|---|---|
| Frequent travel – multiple work sites | Frequently |
| Frequent travel – driving | Frequently |
| Specific hazards | Frequency |
|---|---|
| Working at heights | Never |
| Exposure to extreme temperatures | Never |
| Operation of heavy machinery e.g. forklift | Never |
| Confined spaces | Never |
| Excessive noise | Never |
| Low lighting | Occasionally |
| Handling of dangerous goods/equipment e.g. gases; liquids; biological. | Never |
| Slippery or uneven surfaces | Never |
Directorate: Canberra Health Services
Division: Allied Health, Palliative Care, Ambulatory Care
Business Unit: GRACE Service
Position number: 603666
Position title: Nurse Practitioner
Classification: Registered Nurse Level 4.2
Location: North Canberra Hospital, Bruce
Reporting relationships: Nurse Practitioner >GRACE CNC > Executive Director Allied Health, Palliative Care, Ambulatory Care